- Sutter Health (Santa Rosa, CA)
- …and state utilization and quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health ... compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM staff and...and Quality Committees, as appropriate **Communication:** * Serves as liaison for providers and CDI team to address issues… more
- Evolent (Sacramento, CA)
- …and client audiences. + Cross-Functional Collaboration & Leadership: Serve as a key liaison between analytics, clinical , product, and account management teams to ... Lead advanced analyses of healthcare authorization, claims, membership data, and clinical outcomes to uncover cost drivers, utilization trends, and opportunities for… more
- Baylor Scott & White Health (Sacramento, CA)
- …appeals workflows. + Supports education and training initiatives to improve documentation and clinical justification practices. + Serves as a liaison to outside ... responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH).… more
- Cedars-Sinai (Beverly Hills, CA)
- …review current medications and record in medical record. + Coordinates, or serve as liaison , for administrative and clinical (based on scope of practice) support ... department specific data. + Explains policies, procedures, or services to patients using clinical or administrative knowledge, based on scope of practice. + Sweeps … more
- Cedars-Sinai (Beverly Hills, CA)
- …review current medications and record in medical record. + Coordinates, or serve as liaison , for administrative and clinical (based on scope of practice) support ... department specific data. + Explains policies, procedures, or services to patients using clinical or administrative knowledge, based on scope of practice. + Sweeps … more
- Cedars-Sinai (Pasadena, CA)
- …review current medications and record in medical record + Coordinates, or serve as liaison , for administrative and clinical (based on scope of practice) support ... departments + Explains policies, procedures, or services to patients using clinical or administrative knowledge, based on scope of practice + Cleans/re-processes… more
- CVS Health (CA)
- …The _Lead Director, Regional Network and Trend Optimization_ serves as a pivotal liaison between Network, Finance, Clinical Operations, and Sales Teams. This ... with Provider Contracting, MEU, Pharmacy, Claims Cost Management, Innovation, and Clinical to ensure aggressive management of medical cost trends to achieve… more
- Sutter Health (Emeryville, CA)
- …and state utilization and quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health ... compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM staff and...accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk for… more
- Sutter Health (Modesto, CA)
- …and state utilization and quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health ... compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM staff and...accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk for… more
- UCLA Health (Santa Monica, CA)
- …administrative support for the Rape Treatment Center and its programs. + Supports clinical staff by serving as a liaison between victim/survivors and community ... us bring wholeness and healing to survivors of sexual assault and abuse. With guidance from the Clinical Director, the Case Coordinator: + Provides operational and… more